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1346769551
SIMON RODRIGUEZLOPEZ
FLORHAM PARK, NJ
NPI
1346769551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ 25MT00244500)
Enumeration Date
2017-09-19
Last Update Date
2017-09-19
Business Address
SIMON RODRIGUEZLOPEZ ATC
1 JETS DR
FLORHAM PARK, NJ 07932-1215
Phone number: 973-549-4706
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Mailing Address
SIMON RODRIGUEZLOPEZ ATC
60 MAITLAND AVE
PATERSON, NJ 07502-2034
Phone number: 973-405-7922
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